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Crèche Registration Form
Crèche is for children 0-3 years and is led by DBS checked leaders. We play, sing songs and look at a bible story each week. It runs during the 11am service at Inspire at Saint James Clerkenwell, in the Vestry of Saint James Church Clerkenwell.
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Email
*
Your email
Child's information
Child's full name
*
Your answer
Child's home address
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Your answer
Child's date of birth
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MM
/
DD
/
YYYY
Parent or Guardian's information
Parent or guardian name
*
Your answer
Phone number
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Your answer
Medical Information
Does your child have any disability, illness, dietary requirement or allergy (e.g. asthma, peanut allergy) which we need to know about? If yes, please give details
Your answer
Does your child have any special needs or preferences that we should know about to help us care for them? If yes, please give details
Your answer
Permissions and additional details
I agree to my child attending crèche
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Yes
Required
I agree to my child having snacks of baby biscuits, rice cakes and/or fruit/raisins
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Yes
No
I agree to my child’s nappy being changed by a crèche team member
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Yes
No, I would like to be the one to change my child's nappy.
I agree to photographs and/or video of activities including my child to be used within the church community/for possible publication including newspaper or internet
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Yes
No
In case of injury/illness, I give consent for the first aid supervisor to administer first aid and/or contact emergency services
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Yes
No
I understand my details will be held on the Inspire Saint James IT systems
*
Yes
Required
Parent/Guardian signature (type name)
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Your answer
We'd love to let you know about other Inspire Saint James events for children and families
Please tick the boxes below if you would like to receive information about:
Inspire Holiday Club
Inspire Football (for children aged 6 to 14)
Other events and activities for children and families
Notes
You can change your communication preferences at any time by emailing
admin@inspirelondon.org
For further details about how we process your data please refer to our privacy policies, which you can find at
www.inspirelondon.org/contact-us/
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A copy of your responses will be emailed to the address you provided.
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